How do specialties provide input to the relative values Medicare assigns to services?
ACP and other physician organizations engage CMS directly regarding RBRVS maintenance and Medicare payments. There are two major groups of physicians involved in the Relative Value Update Committee (RUC) process: the RUC members and the specialty advisors. The American Medical Association, in collaboration with physician specialty organizations, convenes a committee of physicians that makes RVU recommendations to CMS. Specialties appoint RUC members; these committee members are joined by a broader group of specialty organizations to appoint physicians who represent their respective specialties and serve in an advisory role. Q: How does the RUC make recommendations to CMS? A: The RUC generally makes recommendations on services before they first appear in the Current Procedural Terminology code book. It also makes recommendations on services the agency identifies for an accuracy assessment, as part of a statutorily mandated review done every five years. Q: What information is collected?
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